Don't miss out on all the exciting things happening at Fedhealth
flexiFED 1 |
flexiFED 2 |
flexiFED 3 |
flexiFED 4 |
myFED |
maxima EXEC |
maxima PLUS |
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In-hospital benefit |
Most costs for hospitalisation are covered from this benefit and must be pre-authorised. A R6 400 co-payment applies on voluntary use of non-network hospital |
Most costs for hospitalisation are covered from this benefit and must be pre-authorised. Unlimited at negotiated tariff at a hospital of your choice. |
Most costs for hospitalisation are covered from this benefit and must be pre-authorised. Unlimited at negotiated tariff at a hospital of your choice. |
Most costs for hospitalisation are covered from this benefit and must be pre-authorised. Unlimited at negotiated tariff at a hospital of your choice. |
Most costs for hospitalisation are covered from this benefit and must be pre-authorised. A R11 500 co-payment applies on voluntary use of non-network hospital |
Most costs for hospitalisation are covered from this benefit and must be pre-authorised. Unlimited at negotiated tariff at a hospital of your choice. |
Most costs for hospitalisation are covered from this benefit and must be pre-authorised. Unlimited at negotiated tariff at a hospital of your choice. |
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Chronic disease benefit |
You get cover for conditions on the Chronic Disease List (CDL) at provider of choice. Subject to basic formulary and MPL |
You get cover for conditions on the Chronic Disease List (CDL) at provider of choice. Subject to the intermediate formulary and MPL |
You get cover for conditions on the Chronic Disease List (CDL) and cover for 3 additional conditions for children up to the age of 18 namely:
Medicine can be obtained at a provider of choice. Subject to intermediate formulary and MPL |
You get cover for conditions on the Chronic Disease List (CDL) and cover for 17 additional conditions. Medicine can be obtained at a provider of choice. Subject to intermediate formulary and MPL. Take a look at the conditions covered on this option
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You get cover for conditions on the Chronic Disease List (CDL) at a designated service provider (DSP). Subject to basic formulary and MPL |
You get cover for conditions on the Chronic Disease List (CDL) and cover for 28 additional conditions. Medicine can be obtained at a provider of choice. Subject to intermediate formulary and MPL. Take a look at the conditions covered on this option
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You get cover for conditions on the Chronic Disease List (CDL) and cover for 40 additional conditions. Medicine can be obtained at a provider of choice. Subject to intermediate formulary and MPL. Take a look at the conditions covered on this option
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Screening benefits |
Cover for women's, children's, cardiac and general health risk assessments and screenings. |
Cover for women's, children's, cardiac and general health risk assessments and screenings. |
Cover for women's, children's, cardiac and general health risk assessments and screenings. |
Cover for women's, children's, cardiac and general health risk assessments and screenings. |
Cover for flu vaccinations, HIV finger prick test and wellness screenings. |
Cover for women's, children's, cardiac and general health risk assessments and screenings for older members. |
Cover for women's, children's, cardiac and general health risk assessments and screenings for older members. |
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Maternity benefits |
Cover for in-hospital maternity expenses only. Out-of-hospital medical expenses can be covered by the MediVault and Wallet. |
Cover for in-hospital maternity expenses and the following out-of-hospital benefits :
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Cover for in-hospital maternity expenses in a private ward and the following out-of-hospital benefits :
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Cover for in-hospital maternity expenses only. Out-of-hospital medical expenses can be covered by the MediVault and Wallet. |
Unlimited cover for natural births and emergency Caesarean sections. |
Cover for in-hospital maternity expenses only. Out-of-hospital medical expenses can be covered by the medical savings account. |
Cover for in-hospital maternity expenses only. Out-of-hospital medical expenses can be covered by the medical savings and OHEB account |
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Additional benefits |
Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer • 7 days of take home medicine |
Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer • 7 days of take home medicine • Treatment for up to 30 days after hospitalisation • Specialised Radiology • Trauma treatment at casualty ward • Female contraceptives |
Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer
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Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer
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Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer • 7 days of take home medicine |
Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer
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Fedhealth pays for the following day-to-day expenses to help members’ day-to-day savings last longer
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Threshold benefit |
In order to access your Benefit Maximiser, you need to submit all day-to-day claims to accumulate to the Benefit Maximiser Threshold Level. Thereafter, certain claims will be paid from the Benefit maximiser. These include: preventative dentistry and unlimited network GP visits. |
In order to access your Benefit Maximiser, you need to submit all day-to-day claims to accumulate to the Benefit Maximiser Threshold Level. Thereafter, certain claims will be paid from the Benefit maximiser. These include: basic dentistry and unlimited network GP visits. |
In order to access your Benefit Maximiser, you need to submit all day-to-day claims to accumulate to the Benefit Maximiser Threshold Level. Thereafter, certain claims will be paid from the Benefit maximiser. These include: basic dentistry and unlimited network GP visits. |
The Threshold Benefit pays for certain day-to-day expenses once your claims have accumulated up to the required Threshold level. The threshold level is reached through the accumulation of claims paid from the member’s Savings/ Wallet or self-funded through the year at the Fedhealth Rate. |
The Threshold Benefit pays for certain day-to-day expenses once your claims have accumulated up to the required Threshold level. The threshold level is reached through the accumulation of claims paid from the member’s Savings or self-funded through the year at the Fedhealth Rate. |
The Threshold Benefit pays for certain day-to-day expenses once your claims have accumulated up to the required Threshold level. The threshold level is reached through the accumulation of claims paid from the member’s Savings and OHEB or self-funded through the year at the Fedhealth Rate. |
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Pay less on your monthly contributions |
Save on your contribution by choosing a restricted hospital network or just pay an R11500 excess for planned procedures at a hospital of your choice. |
Save 11% on your contribution by committing to use use Fedhealths network of more than 100 world class hospitals OR Save 25% by using Fedhealth's restricted hospital network or just pay an R11 500 excess for planned procedures at a hospital of your choice. |
Save 11% on your contribution by committing to use use Fedhealth's network of more than 100 world class hospitals OR Save 25% by using Fedhealth's restricted hospital network or just pay an R11 500 excess for planned procedures at a hospital of your choice. |
Save 11% on your contribution by committing to use use Fedhealth's network of more than 100 world class hospitals OR Save 25% by using Fedhealth's restricted hospital network or just pay an R11 500 excess for planned procedures at a hospital of your choice. |
Save 11% on your contribution by committing to use Fedhealth's network of more than 100 world class private hospitals |
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Day-to-day benefits |
You are allocated money for day-to-day medical expenses available in your personal MediVault. This amount is based on your family composition and is not pro-rated. To access these funds you can transfer it in full upfront or in part as needed to your wallet: flexiFED 1 Member R3 600 flexiFED 1Elect Member R2 700 |
You are allocated money for day-to-day medical expenses available in your personal MediVault. This amount is based on your family composition and is not pro-rated. To access these funds you can transfer it in full upfront or in part as needed to your wallet flexiFED 2 M R4 200 flexiFED 2 GRID M R3 600 flexiFED 2 Elect M R3 300 |
You are allocated money for day-to-day medical expenses available in your personal MediVault. This amount is based on your family composition and is not pro-rated. To access these funds you can transfer it in full upfront or in part as needed to your wallet flexiFED 3 Member R5 100 flexiFED 3 GRID Member R4 500 flexiFED 3 Elect Member R3 900 |
You are allocated money for day-to-day medical expenses available in your personal MediVault. This amount is based on your family composition and is not pro-rated. To access these funds you can transfer it in full upfront or in part as needed to your wallet flexiFED 4 Member R7 500 flexiFED 4 GRID Member R6 600 flexiFED 4 Elect Member R5 700 |
Please see plan details for day-to-day benefits paid by the Scheme |
Amount available for day-to-day expenses Annual Savings Member R9 024 |
Amount available for day-to-day expenses Annual Savings and OHEB Member R14 243 |
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"Very very happy with the service...and extremely friendly "
LIZANNE | 23 Oct 2019 |
"Simplified benefit structure, affordable premiums. Great flexibility. Affords members the choice to control their medical spend the way they want."
THEMBA ZULU | 01 Aug 2020 |
"At first I was skeptical about the medical scheme but I'm starting to love it more every day. One of the best decisions I've ever made. I am amazed by how quick my things were processed, I did not expect it to be that fast. I am so happy and grateful for you and Fedhealth medical Scheme"
RUDENE | 08 Oct 2020 |
"Amazing customer service. Very friendly"
NTAKADZENI | 11 Sep 2019 |
I was so surprised to receive a teddy yesterday that you sent to my daughter due to her past stay in the hospital. You guys really go the extra mile.... You made my daughter so so happy. Her sister not so much as she wants to go to the hospital as well now. :) It really doesn't go unnoticed. Thanks so much for making our day a little bit brighter.
Z. MULLER | 01 Sep 2020 |
"I would like to really praise you for the wonderful customer service you have given us in the past years and also every day going forward. "
ZELDA | 09 Sep 2020 |